AMAs, anyone else getting grief?

Went in for my regular appt yesterday(after my BPP) and I saw an OB I don't particularly care for, but hey, it's a multiple doctor outfit and anyone could deliver, so they want me to see everyone at least once.

I let her know I was not comfortable with that. My appt next week(after another BPP) is with my favorite doctor, so I really need to talk with her about how the rest of my pregnancy/birth plan is going to be. So far, she has been cool with me going to 41 weeks, but not much past that. I'm okay with that, just give me a stinking chance to go into labor on my own!

And fwiw, I'm resigned to an induction. I know I'll end up with one, but the 39 weeks just surprised me.

Comments (8)

No grief here... But of course I ditched kaiser a few months ago and have only seen my midwife since. She hasn't talked AMA, tomorrow will be 3days past my EDD and depending on how ready things are with my cervix etc wenay just get things started ourselves.

I had a HS classmate get induced for AMA at 39 weeks though. No other reason. I think it's ridiculous.

Whoa. I haven't heard anything about this!!! I just hit 39 weeks today and my next doc appt is on Monday. She hasn't mentioned anything. Beyond advanced maternal age, what are the reasons given? I'm really curious. I'm an FTM at 39 years, btw...

No, the age was the only reason. That's why it surprised me. I have a history of healthy pregnancies, healthy labor/deliveries and healthy babies. Why would an induction at 39wks be necessary if baby was doing well?

She knows I hate inductions to begin with, not sure if she brought it up just to see if my head would pop or what. LOL

And I was going to ask if the BPP every week were really necessary, but now it appears they are the lesser of the two evils. ;~) Actually, they told me the BPP would take an hour, but it was only 20 minutes, so I can handle 20 minutes, it's just between the appt time for that at the hospital, then the lunch break and then my appt at the OB office, I'll be spending 3 hours every Tuesday in town until I deliver. Irritating...

The only midwife in a 1-hour radius only does home deliveries. I'm just not a good candidate for that and dh is not on board at all with that idea, so I get this OB practice or travelling an hour to another provider/birth center.

Oh well. I'm not the type to just agree just to agree, so I'm not worried about being "forced" into an induction earlier than my plans, but it just adds stress knowing I will likely need to once again be at odds with the practice. I went through similar my last pregnancy, but it was over wrong dates. I'm really NOT a PITB, I just know my body and I have done this before.

I don't understand 39 wks for induction with a healthy pregnancy at all. I was 41 yoa with my first and was induced at 42 wks (ended up with c-section). Now I am 43 yoa and I am clear in my mind that I won't be induced until 42 wks (but hoping it won't come to that) b/c like you, I want to go into labour naturally.

Stick to your guns on this. There needs to be clear clinical reasons why induction should be earlier. If there are no increased risks to you or baby, then WHY?????

Most often it is the convenience of the practitioner or facility rather than clinical reasons for this sort of rubbish. It's very annoying and just adds to feelings of stress that you don't need. Good luck, mama.

I did a little bit of reading. Didn't want to read too much b/c I'm already freaking out about this. But it does seem that some studies have been published that the stillbirth rate goes up a bit for women in the 40+ age group. It seems tied to placental function, among other things.

I go in to see my doc every week, too, and she always checks the cord blood flow. This seems to be quite important. That said, I'm still freaking out. I called my doc today b/c baby seems to be slowing down his movements a bit and she said this is natural but just to make sure he moves at least 25 times a day. (He moves more than that, but it's not with the same urgency as he used to.) Others, like my mother, say that there is a "pre-birth quiet down phase." Thoughts?

I am high risk not due to my age but due to the fact I am diabetic and have a clotting problem. I am 44 and my doc is inducing at 39 weeks for those reasons but said I could be monitored instead. I too am doing BPP and twice a week non stress tests. This is baby 7 and I may put off the induction depending on how she is doing. I was on an over 40 board and no one was induced because of age

Yeah, I've talked to my doctor about this twice. She's adamant that in Turkey (that's where I am living), no one gets induced for age. But she will induce at over 41 weeks. I'll be forty weeks on Thursday.

Okay, had another appt today and with the good(in my opinion) doctor. She said they will want me to deliver by 40 wks. I told her I already had an appt and BPP scheduled for 40w4d and asked if we could wait until THAT appt to decide on induction. She said she will bring it up in the practice meeting tomorrow with the other OBs and let me know. :~/

I'm not thrilled with that response. I guess I need to see how far they'll push. If I refuse an induction, will they drop my care? And if so, can I get another doctor/midwife/practice to take me at 40w?

Agh! I thought I knew their stance on this from my last pregnancy, but it seems adding 4 years to my age has changed that policy.